Claims Adjudication - Immediate Joiner

We Looking For experienced candidates in Claims Adjudication - Immediate Joiner

Yrs Of Exp: 4-6

NP -Immediate joiners / 15days

Shift : Night

Location : Chennai (Ambattur)

Skills : Very good in communication

Interested Candidates can send your resume to radhikav@cognethro.com

JOB DESCRIPTION

• Process Adjudication claims and resolve for payment and Denials
• Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
• Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
• Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
• Organizing and completing tasks according to assigned priorities.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
• Resolving complex situations following pre-established guidelines.

Requirements for this role include:

• 4 to 6 years of experience in processing claims adjudication and adjustment process
• Experience of Facets is an added advantage.
• Experience in professional (HCFA), institutional (UB) claims (optional)
• Both under graduates and post graduates can apply
• Able to work independently, strong analytic skills
• Ability to communicate (oral/written) effectively in English to exchange information with our client.